Complex common and internal iliac or aortoiliac aneurysms and current approach: individualised open-endovascular or combined procedures.
Complex common and internal iliac or aortoiliac aneurysms and current approach: individualised open-endovascular or combined procedures.
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DOI：
10.1155/2014/178610
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发表时间：
2014
影响因子：
1.3
通讯作者：
Theodoraki K
中科院分区：
文献类型：
--
作者：
Kotsis T;Louizos LA;Pappas E;Theodoraki K
Objective.双侧髂内动脉瘤是肾下型髂内动脉疾病的最大形态。我们详细介绍了特征性髂动脉疾病的模式和重建技术，我们已经使用，沿着一个可视化的决策图表和简短的文献回顾。材料和方法。本文描述了一项对12例髂动脉疾病患者临床病例的回顾性观察研究。2例患者患有髂总动脉瘤，通过应用倒置覆膜支架进行治疗;另1例通过在右髂总动脉插入标准分叉覆膜支架进行修复，并在左髂动脉轴插入髂分支器械。5例采用开放手术，4例采用髂髂动脉支架植入术联合股动脉旁路移植术。结果技术成功率为100%。在扩口髂动脉分支中观察到1例Ib型内漏，并通过髂内动脉栓塞和使用髂动脉分支覆膜支架延长段予以纠正。我们报告在26.3个月的随访期间通畅率为100%。结论针对孤立性髂动脉或髂内动脉闭塞性疾病的个体化治疗技术，特别关注髂内动脉灌注，可消除围手术期并发症，提高长期耐久性和通畅率。
Objective. Bilateral internal iliac artery aneurysms constitute the utmost configuration of infrarenal aortoiliac disease. We detail characteristic aortoiliac disease patterns and reconstructive techniques we have used, along with a visualized decision-making chart and a short review of the literature. Material and Methods. A retrospective, observational study of twelve clinical cases of patients with aortoiliac disease are described. Two patients had a common iliac artery aneurysm and were managed by the application of inversed stent-grafts; another case was repaired by the insertion of a standard bifurcated stent-graft flared in the right common iliac artery and with an iliac branched device in the left iliac arterial axis. Open approach was used in 5 cases and in 4 cases a combination of aortouniliac stent-grafting with femoral-femoral bypass was applied. Results. Technical success was 100%. One endoleak type Ib in a flared iliac limb was observed and corrected by internal iliac embolism and use of an iliac limb stent-graft extension. We report 100% patency rate during 26.3 months of followup. Conclusion. Individualized techniques for the management of isolated iliac or aortoiliac aneurismal desease with special concern in maintaining internal iliac artery perfusion lead to elimination of perioperative complications and long-term durability and patency rates.